D. T. Shindell’s research while affiliated with Duke University and other places

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Publications (500)


Climate Change and Disparities in Extreme Heat Exposure for Socially Vulnerable Areas in the Contiguous United States
  • Preprint

March 2025

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5 Reads

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Fiona Lo

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Olivié (2021) box model global CH4 (a) emissions, (b) lifetime, and (c) concentrations under CLE and MFR scenarios.
(a) CH4 emissions and their sources in the present day (2015–2020 mean), (b) the sources of natural CH4 emissions, and (c) the evolution of CH4 emissions in the 1995–2014 period (right) as modelled by the interactive simulation. Anthr stands for anthropogenic, BBurn for biomass burning, and term for termites. Soil stands for the soil sink for CH4.
Global distribution of anthropogenic, wetland + tundra, biomass burning, termite, and other CH4 sources averaged over 2015–2020.
Observed and simulated global mean CH4 concentrations in 1995–2014 period.
Normalized mean bias (MNB) in % in simulated surface CH4 concentrations from (a) prescribed and (b) interactive (right panel) simulations in 1995–2014 period.

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Future CH4 as modelled by a fully coupled Earth system model: prescribed GHG concentrations vs. interactive CH4 sources and sinks
  • Article
  • Full-text available

February 2025

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26 Reads

We have used the NASA Goddard Institute for Space Studies (GISS) Earth system model GISS-E2.1 to study the future budgets and trends of global and regional CH4 under different emission scenarios, using both the prescribed GHG concentrations as well as the interactive CH4 sources and sinks setup of the model, to quantify the model performance and its sensitivity to CH4 sources and sinks. We have used the Current Legislation (CLE) and the maximum feasible reduction (MFR) emission scenarios from the ECLIPSE V6b emission database to simulate the future evolution of CH4 sources, sinks, and levels from 2015 to 2050. Results show that the prescribed GHG version underestimates the observed surface CH4 concentrations during the period between 1995 and 2023 by 1%, with the largest underestimations over the continental emission regions, while the interactive simulation underestimates the observations by 2%, with the biases largest over oceans and smaller over the continents. For the future, the MFR scenario simulates lower global surface CH4 concentrations and burdens compared to the CLE scenario, however in both cases, global surface CH4 and burden continue to increase through 2050 compared to present day. In addition, the interactive simulation calculates slightly larger O3 and OH mixing ratios, in particular over the northern hemisphere, leading to slightly decreased CH4 lifetime in the present day. The CH4 forcing is projected to increase in both scenarios, in particular in the CLE scenario, from 0.53 W m⁻² in the present day to 0.73 W m⁻² in 2050. In addition, the interactive simulations estimate slightly higher tropospheric O3 forcing compared to prescribed simulations, due to slightly higher O3 mixing ratios simulated by the interactive models. While in the CLE, tropospheric O3 forcing continues to increase, the MFR scenario leads to a decrease in tropospheric O3 forcing, leading to a climate benefit. Our results highlight that in the interactive models, the response of concentrations are not necessarily linear with the changes in emissions as the chemistry is non-linear, and dependent on the oxidative capacity of the atmosphere. Therefore, it is important to have the CH4 sources and chemical sinks to be represented comprehensively in climate models.

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Illustrative examples of the relative use of CDR under idealized pathways
All values in GtCO2 yr⁻¹. Under least-cost overshoot pathways, CDR is exclusively for usages 1, 2 and 3. Amounts shown here are average year-2070 deployment of CDR in IPCC AR6 C2 scenarios (left). Illustrative examples of pathways including additional arbitrary 4 GtCO2 yr⁻¹ usage of CDR to compensate for emissions from E2A sectors (usage 4) show a case in which the total deployment of CDR is substantially increased (upper right) and a case in which the total CDR stays the same leading to reduced amounts available for uses 1, 2 and 3 (distributed according to their share in the left-hand scenario; lower right). Non-CO2 LLGHGs are primarily N2O with a small contribution from fluorinated gases. Potential consequences of usage 4 for CDR are listed at the right, although even before the addition of usage 4 the average deployment of CDR of C2 scenarios exceeds published estimates for sustainability limits.
Net CO2 emissions, residual CO2 emissions and residual CO2 + N2O in pathways returning warming to 1.5 °C after an overshoot
All emissions are in GtCO2 or GtCO2e yr⁻¹ and show annual averages (left; individual scenarios in various shades of grey) and 2050–2100 averages (right) in 81 least-cost scenarios evaluated to have at least a 50% chance of returning warming below 1.5 °C in 2100 after overshoot of 0.1–0.3 °C (IPCC AR6 C2 category of scenarios).
Comparison of total CDR deployment and CDR sustainability thresholds
Total CDR deployment (in GtCO2 yr⁻¹) in scenarios with at least a 50% chance of returning warming below 1.5 °C in 2100 after overshoot of 0.1–0.3 °C (C2) and in scenarios having a 67% probability of keeping warming below 2 °C, with no or limited overshoot (C3). Individual scenarios are in various shades of grey. The dashed line indicates the estimated land-based CDR potential with acceptable (medium) levels of risk across a range of factors¹⁵.
Preserving carbon dioxide removal to serve critical needs

February 2025

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135 Reads

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1 Citation

Nature Climate Change

Carbon dioxide removal (CDR) is critical to most net-zero pathways, especially given challenges due to slow decarbonization, hard-to-abate (H2A) economic activities and non-CO2 GHGs. However, land-based CDR, which is the most widely deployed currently and in future projections, requires extensive land and water. Here we examine least-cost 1.5 °C overshoot pathways, finding that 78 of 81 scenarios would require all available sustainable CDR to compensate for H2A emissions and overshoot. Use of CDR to compensate for emissions from easier-to-decarbonize sectors such as electricity would leave less available to compensate for H2A emissions, increasing system-wide costs of net zero or rendering such goals impossible. Such usage, however, is allowed in many jurisdictions and is widespread in voluntary markets. We suggest that rapidly transitioning CDR usage to exclusively compensate for H2A emissions and overshoot is required to prevent lower costs for near-term actors leading to larger long-term system-wide costs.


Climate Forcing due to Future Ozone Changes: An intercomparison of metrics and methods

December 2024

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75 Reads

We use Earth system models and a chemistry transport model to determine the radiative forcing due to changes in ozone Three different measures of radiative forcing (instantaneous: IRF, stratospheric-temperature adjusted: SARF, effective: ERF) are compared using both online and offline calculations for the IRF and SARF, and online calculations for the ERF. To isolate the ozone radiative forcing, we configure the model experiments such that only the ozone changes (including respective changes in water vapour, clouds etc.) affect the evolution of the model physics and dynamics. We find robust changes in ozone due to future changes in ozone precursors and ODSs. These lead to a positive radiative forcing of 0.27±0.09 Wm-2 ERF, 0.24 ± 0.021 W m-2 offline SARF, 0.29 ± 0.10 Wm-2 online IRF. Increases in ozone lead to an overall decrease in cloud fraction (although there are increases at some levels). This decrease causes an overall negative adjustment to the radiative forcing (positive in the short-wave (SW), but negative in the long-wave (LW)). Non-cloud adjustments (excluding stratospheric temperature) are positive (both LW and SW). The opposing signs of the cloud and non-cloud adjustments mean the overall adjustment to the SARF is slightly positive. We find general agreement between models in the impact of the ozone changes on temperature and cloud fractions and agreement in the signs of the individual adjustment terms when split into SW and LW. However, the overall difference between the ERF and SARF is smaller than the inter-model variability.


Relationships between Sahel precipitation and sulfate aerosols over Asia and Europe. (a) Annual cycle of Sahel (10°N–20°N, 20°W–35°E) precipitation (mm day⁻¹) derived from the GPCP (1979–2020), CRU (1979–2020), UDEL (1979–2014), GPCC (1979–2019) and Base experiments in PDRMIP. (b) Spatial distribution of precipitation trend (mm day⁻¹ per 100 years) in summer (June‐September, JJAS) from 1979 to 2020 derived from the GPCP. (c) Time series of JJAS precipitation over the Sahel, derived from the GPCP, CRU, UDEL, and GPCC. (d) Spatial pattern of Eurasian sulfate AOD trend (per 100 years) in JJAS during 1980–2020 from MERRA‐2 Reanalysis. Error bars in (a) represent the multi‐model ensemble standard deviation of PDRMIP. The thick green box in (b) marks the Sahel region. The numbers in the bracket in (c) represent the JJAS precipitation liner trend (mm day⁻¹ per 100 years) and black stars represent that the trends are statistically significant at the 99% confidence level. The thick red and blue box in (d) indicates Asia (10°N–50°N, 60°E−140°E) and Europe regions (35°N–70°N, 10°W–40°E), respectively. Stippling in (b, d) represents p < 0.05 confidence level by a standard t‐test.
Sahel precipitation responses to sulfate aerosol dipole pattern in PDRMIP. (a) Monthly and JJAS average changes of Sahel precipitation (mm day⁻¹) induced by EASD (Base‐Sulx10Eur), (c) AASI (Sulx10Asia‐Base), and (e) AASI + EASD (Sulx10Asia‐Sulx10Eur). Spatial distribution of changes in JJAS precipitation (mm day⁻¹) from (b) EASD, (d) AASI, and (f) AASI + EASD. Error bars in (a, c, e) represent the multi‐model ensemble standard deviation of PDRMIP. The thick green box in (b, d, f) marks the Sahel region and the gray stippled regions indicate where the multi‐model mean of the PDRMIP models is more than 1 standard deviation away from zero.
Multi‐model mean anomalies induced by decreased European sulfate aerosols in PDRMIP. (a) JJAS effective radiative forcing (ERF, W m⁻²). (b) Changes in JJAS zonal mean (10°W–140°E) temperature (Δ T, °C) and (c) 850 hPa temperature (ΔT, °C). (d) Changes in JJAS wind field (ΔUV, m s⁻¹) at 850 hPa, (e) 600 hPa, and (f) 150 hPa. (g) Changes in JJAS 500 hPa vertical velocity (ΔOmega, 10⁻² Pa s⁻¹), (h) vertically integrated (surface‐300 hPa) moisture flux (ΔUVQ, kg m⁻¹ s⁻¹), and (i) vertically integrated (surface‐300 hPa) water vapor (ΔQ, kg m⁻²). The gray stippled regions in (a, b, c, g, i) and black arrows in (d, e, f, h) indicate where the multi‐model mean of the PDRMIP models is more than 1 standard deviation away from zero.
Multi‐model mean anomalies induced by increased Asian sulfate aerosols in PDRMIP. (a) JJAS effective radiative forcing (ERF, W m⁻²). (b) Changes in JJAS zonal mean (10°W–140°E) temperature (ΔT, °C), (c) temperature (ΔT, °C) from 500 hPa to 200 hPa, and (d) zonal mean (10°W–140°E) temperature gradient (ΔMGT, 10⁻³ °C km⁻¹). (e) Variations of wind field (ΔUV, vector, m s⁻¹) and zonal wind (ΔU, shaded, m s⁻¹) at 200 hPa, (f) 500 hPa, and (g) 850 hPa in JJAS. (h) Changes in JJAS vertically integrated (surface‐300 hPa) moisture flux (ΔUVQ, kg m⁻¹ s⁻¹) and (i) vertically integrated (surface‐300 hPa) water vapor (ΔQ, kg m⁻²). The gray stippled regions in (a, b, c, d, i), black arrows in (e, f, g, h), and the colored in (e, f, g) contour maps indicate where the multi‐model mean of the PDRMIP models is more than 1 standard deviation away from zero.
Responses of atmospheric circulation indices related to the Sahel summer precipitation to regional aerosol changes in PDRMIP. Changes induced by EASD and AASI in the African Easterly Jet (AEJ, m s⁻¹, defined as the area‐averaged zonal wind at 600 hPa over the Sahel), latitude of AEJ (° North, defined as the latitude of the maximum of the zonal mean easterly wind computed between 20°W and 35°E), vertical zonal wind shear (m s⁻¹) between 925 hPa and 600 hPa over the Sahel, zonal wind (U, m s⁻¹) at 850 hPa over the eastern Atlantic and western Africa (10°N–30°N, 40°W–10°E), and precipitation (mm day⁻¹) averaged over the Sahel. Crosses denote the results of each model. Bars represent ±1 standard deviation of multi‐model simulation results in PDRMIP.
Increased Asian Sulfate Aerosol Emissions Remarkably Enhance Sahel Summer Precipitation

November 2024

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93 Reads

Observational evidence shows that Sahel summer precipitation has experienced a considerable increase since the 1980s, coinciding with significant diverging trends of increased sulfate emissions in Asia and decreased emissions in Europe (dipole pattern of aerosols between Asia and Europe). The decrease in European sulfate aerosols has substantial effects on the Sahel summer precipitation increase, but the corresponding effect of increased Asian sulfate is unknown. Multi‐model simulations in the Precipitation Driver and Response Model Intercomparison Project (PDRMIP) show, compared to decreased European aerosols, that increased Asian aerosols similarly enhance the Sahel summer precipitation but with different large‐scale atmospheric circulation changes. Further analysis of the Sixth Coupled Model Intercomparison Project (CMIP6) simulations under historical attribution and various emission scenarios reinforces the results about the climate impacts of anthropogenic aerosols and suggests that in future scenarios with strong international cooperation and rapid climate mitigations (SSP2‐45), the Sahel drought will be intensified likely due to the decline in Asian aerosol emissions. Our results suggest that Asian anthropogenic aerosols are likely a non‐negligible driver of the recent recovery in Sahel precipitation amounts.



Fig. 1 Recent global wildfire burned area and emissions (2003-2022). (a) Average emissions of CO 2 , BC (2003-2018), and PM 2.5 (2003-2018) from fully anthropogenic (blue) and wildfire (red) sources, with 95% CI error bars. Data from Emissions Database for Global Atmospheric Research (EDGAR) and Copernicus Atmosphere Monitoring Service Global Fire Assimilation System (GFAS). (b) Continental contributions to global cumulative BA and emissions of CO 2 , BC, and PM 2.5 . Data from Moderate Resolution Imaging Spectroradiometer burn product (MCD64A1) and GFAS. (c) Annual continental BA and emissions of CO 2 and PM 2.5 . Bright bars represent the contributions of 2015 Indonesia, 2021 Siberia and North America, 2022 Mediterranean and 2019-2020 South-east Australia, respectively.
Fig. 3 Effects posed by wildfires.
Profiles of vegetation, climate, policies, and wildfires by continent
Continuous wildfires threaten public and ecosystem health under climate change across continents

October 2024

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127 Reads

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5 Citations

Frontiers of Environmental Science & Engineering

Wildfires burn approximately 3%–4% of the global land area annually, resulting in massive emissions of greenhouse gases and air pollutants. Over the past two decades, there has been a declining trend in both global burned area and wildfire emissions. This trend is largely attributed to a decrease in wildfire activity in Africa, which accounts for a substantial portion of the total burned area and emissions. However, the northern high-latitude regions of Asia and North America have witnessed substantial interannual variability in wildfire activity, with several severe events occurring in recent years. Climate plays a pivotal role in influencing wildfire activity and has led to more wildfires in high-latitude regions. These wildfires pose significant threats to climate, ecosystems, and human health. Given recent changes in wildfire patterns and their impacts, it is critical to understand the contributors of wildfires, focus on deteriorating high-latitude areas, and address health risks in poorly managed areas to mitigate wildfire effects.



The methane imperative

July 2024

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233 Reads

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35 Citations

Anthropogenic methane (CH4) emissions increases from the period 1850–1900 until 2019 are responsible for around 65% as much warming as carbon dioxide (CO2) has caused to date, and large reductions in methane emissions are required to limit global warming to 1.5°C or 2°C. However, methane emissions have been increasing rapidly since ~2006. This study shows that emissions are expected to continue to increase over the remainder of the 2020s if no greater action is taken and that increases in atmospheric methane are thus far outpacing projected growth rates. This increase has important implications for reaching net zero CO2 targets: every 50 Mt CH4 of the sustained large cuts envisioned under low-warming scenarios that are not realized would eliminate about 150 Gt of the remaining CO2 budget. Targeted methane reductions are therefore a critical component alongside decarbonization to minimize global warming. We describe additional linkages between methane mitigation options and CO2, especially via land use, as well as their respective climate impacts and associated metrics. We explain why a net zero target specifically for methane is neither necessary nor plausible. Analyses show where reductions are most feasible at the national and sectoral levels given limited resources, for example, to meet the Global Methane Pledge target, but they also reveal large uncertainties. Despite these uncertainties, many mitigation costs are clearly low relative to real-world financial instruments and very low compared with methane damage estimates, but legally binding regulations and methane pricing are needed to meet climate goals.


Spatial patterns of O3‐related mortality burden (unit: thousand yr⁻¹) in 2013–2020 for (a) multi‐year average, (b) the difference between 2013 and 2020, (c) national total from our studies and two other studies from L. Chen et al. (2023), and GBD2019 results. The error bars are the 95% confidence interval.
The time series changes of (a) historical population and age structures from 2013 to 2020 and future population and age structures in 2030 and 2050 under the four different SSPs scenarios; (b) annual age‐standardized baseline mortality rate from 2013 to 2019 from the Global Burden of Disease, and the future (2030 and 2050) from International Future; (c) population‐weighted O3 concentration in 2013–2050, which includes ensemble model mean for future results.
The changes in O3‐related mortality burden (a), and the contributions from changes in (b) population magnitude, (c) population aging, (d) age‐standardized baseline mortality rate, and (d) O3 concentration in 2013–2020.
Changes in O3‐related mortality burdens and the contributions from population magnitude, population aging, age‐standardized baseline mortality rate and O3 concentrations in 2020–2030 and 2030–2050 for the four different SSPs (a) SSP1‐2.6, (b) SSP2‐4.5, (c) SSP3‐7.0, and (d) SSP5‐8.5.
(a) O3‐related mortality rate; (b) population aging (i.e., population over 60 years old); (c) age‐standardized baseline mortality rate; and (d) population‐weighted O3 concentrations in 2013, 2019, 2030, and 2050 in the developed and less developed provinces. The values on top of the column are the differences between developed and less developed provinces.
Ozone Mortality Burden Changes Driven by Population Aging and Regional Inequity in China in 2013–2050

July 2024

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74 Reads

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1 Citation

Air pollution exposure is closely linked to population age and socioeconomic status. Population aging and imbalance in regional economy are thus anticipated to have important implications on ozone (O3)‐related health impacts. Here we provide a driver analysis for O3 mortality burden due to respiratory disease in China over 2013–2050 driven by population aging and regional inequity. Unexpectedly, we find that population aging is estimated to result in dramatic rises in annual O3 mortality burden in China; by 56, 101–137, and 298–485 thousand over the periods 2013–2020, 2020–2030, and 2030–2050, respectively. This reflects the exponential rise in baseline mortality rates with increasing age. The aging‐induced mortality burden rise in 2030–2050 is surprisingly large, as it is comparable to the net national mortality burden due to O3 exposure in 2030 (359–399 thousand yr⁻¹). The health impacts of O3 pollution, shown as mortality burden per capita, are inequitably distributed, with more severe effects in less developed provinces than their developed counterparts by 23.1% and 21.5% in 2019 and 2030, respectively. However, the regional inequity in O3 mortality burden is expected to be mitigated in 2050. This temporal variation reflects evolving demographic dividend characterized by a larger proportion of younger individuals in developed regions. These findings are critical for targeted improvement of healthcare services to ensure the sustainability of social development.


Citations (76)


... Furthermore, this represents a striking illustration of the Le Chatelier principle, the carbon cycle on Earth responding intelligently to changing climate. The hope that carbon dioxide removal as sequestration (14), either biologically, chemically or geologically, by burial after capture, will prove futile. ...

Reference:

A thermal acid calcification cause for seasonal oscillations in the increasing Keeling curve
Preserving carbon dioxide removal to serve critical needs

Nature Climate Change

... In the recent years, although there have been a number of reviews covering the consequences of climate change on the occurrence (frequency and intensity) of extreme weather events including wildfires (He et al. 2021;Ebi et al. 2021), there have been only limited in-depth discussions on both the effect of the environmental and health impacts of climate change-induced wildfires (He et al. 2021). Most of the earlier reviews have focussed on the human and animal (i.e., wildlife) health impact of wildfires (Binskin and Bennett 2020;Sulova and Jokar Arsanjani 2021;Jones et al. 2019;Reid 2024;Chen et al. 2024) with limited information on the release and mobilization of contaminants as impacted by wildfires (Zhou et al. 2025;Yang et al. 2022). The novelty of the review paper lies in the fact that it's primary focus is to provide the link between climate change and wildfires, and the effects of wildfires on terrestrial, aquatic and atmospheric environments in relation to wildfire-induced release and mobilization of contaminants and their impacts on human and animal health. ...

Continuous wildfires threaten public and ecosystem health under climate change across continents

Frontiers of Environmental Science & Engineering

... The stratospheric chemistry includes chlorine and 275 bromine chemistry together with polar stratospheric clouds (Shindell et al., 2006). The original chemical scheme has been updated and evaluated since its first implementation and has continued to be updated since (Rivera et al., 2024). ModelE2.1 includes multiple aerosol schemes : One-Moment Aerosols (OMA), which is the scheme used here, is fully interactive within ModelE2.1 in terms of emissions, chemistry, transport, removal, and climate. ...

Assessing acetone for the GISS ModelE2.1 Earth system model

... Studies (Vandal, 2022) indicate that health consequences peak between Day +3 and Day +5 after a heatwave, as pathophysiological complications take time to manifest. Other research (Anderson & Bell, 2009;Hughes et al., 2024) confirms that heat stress triggers delayed health effects, particularly affecting cardiovascular and respiratory diseases. ...

Impact of Wildfire Smoke on Acute Illness
  • Citing Article
  • August 2024

Anesthesiology

... 57,64 Despite these uncertainties and discrepancies, estimates for categories of anthropogenic sources and sinks are relatively well constrained (natural sources and sinks much less so) and generally converge. 51,65 Evidence from global measurements of the 13C/12C methane isotope ratio, which differentiates fossil from biogenic sources, shows a steady increase beginning in the late 19th century, consistent with rising fossil energy emissions. 52 That trend reversed in the early 2000s, reflecting increases in the relative portion of biogenic sources. ...

The methane imperative

... Furthermore, the spatial distribution and underlying mechanisms of population aging differ across regions (3,4), complicating efforts by central and local governments to address this issue effectively. Researches of China's population aging mainly focus on three aspects (Figure 1a): disease burden and healthcare needs of the older adult (highlighted in red and yellow-green clusters) (5,6), the living environments, including natural and cultural aspects (shown in green, purple, and orange clusters) (7)(8)(9), and policies related to aging population (depicted in blue cluster) (10,11). ...

Ozone Mortality Burden Changes Driven by Population Aging and Regional Inequity in China in 2013–2050

... Differential risks are further compounded by variations in exposure at the hyperlocal scale due to the urban heat island (UHI) effect and the multiple residential, occupational, and individually specific settings in which exposures occur [8][9][10][11]. Increasing evidence suggests that chronic heat exposure and its cumulative heat stress can exceed limits to acclimatization [12][13][14], although further research is needed to understand acclimatization under chronic heat conditions especially in the tropics [15]. ...

Impacts of warming on outdoor worker well-being in the tropics and adaptation options

One Earth

... Different scenarios of emissions-dependent on human choices about energy use but also on assumptions of economic growth, technological progress, intra-and inter-regional cooperation, and equality-will determine when the world reaches a specific GWL (O'Neill et al. 2016). Additionally, individual climate scenarios need to be considered to understand impacts and risks experienced by human systems, since the dimensions of exposure and vulnerability are driven by socio-economic pathways (Bukovsky et al. 2021;Fei et al. 2023;Shindell et al. 2024;Terando et al. 2020). ...

Reductions in premature deaths from heat and particulate matter air pollution in South Asia, China, and the United States under decarbonization

Proceedings of the National Academy of Sciences

... The increasing trend in population-weighted surface ozone is mainly contributed by increasing trends in the contribution of methane (0.41 %/yr), anthropogenic (1.13 %/yr) and biogenic (0.42 %/yr) reactive carbon (Table 5). McDuffie et al. (2023) show that with a ~100 ppb of methane pulse, the population-weighted ozone response is larger than the response in the global mean surface ozone. They further explain that this larger response was due to the larger availability of NOx precursor emissions 490 at populated regions leading to larger ozone production in populated regions. ...

The Social Cost of Ozone‐Related Mortality Impacts From Methane Emissions

... This study, as well as related work at national and international levels (Babatola, 2018;Yang et al., 2019;Hammer et al., 2020;Zhang et al., 2020;McDuffie et al., 2021;Southerland et al., 2022), helps to quantify the health impacts of poor air quality, motivating action to monitor air quality globally. When considering future climate and projected emissions changes, despite uncertainties, the projected near-term benefits of emission reduction for reducing mortality are clear (Parsons et al., 2023). ...

Geophysical Uncertainties in Air Pollution Exposure and Benefits of Emissions Reductions for Global Health